Individual provider · Type 1 NPI

Jordan McQuade Coburn, LMT, CNMT

Massage Therapist · Colorado Springs, CO

NPI number 1750091187 Active

Practice location

617 N 17th St Ste 230
Colorado Springs, CO 80904-3577

Call (719) 357-9822 Map

Mailing address

3788 Red Canon Pl Apt B
Colorado Springs, CO 80904-2316

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT.0025055 (CO)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1750091187

Jordan McQuade Coburn, LMT, CNMT's National Provider Identifier is 1750091187, issued on Nov 28, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Colorado Springs, CO. The record was last updated on Nov 28, 2022.